P.O. Box 10155
Lynchburg, VA 24506
877.843.5699
maker of the Kozy Carrier
DISTRIBUTOR QUESTIONNAIRE
Are you interested in becoming a Kozy distributor?
Are you a:
Do you have:
How many Kozys would you
anticipate selling each month?
Name
Address
Country
City
State
Zip
Email
Repeat Email
Telephone
Fax
Web Address (if applicable)
Please feel free to leave any comments here that might better explain your situation or interest.
If you have an interest in becoming a Kozy distibutor, please complete this short questionnaire and click the "SUBMIT" button at the bottom.
E.I.N. (tax number)
